Individual
MORGAN PRIDEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2754 S SMITHVILLE RD, DAYTON, OH 45420
(937) 252-0100
Mailing address
3730 ROCKY POINT RD, SPRINGFIELD, OH 45502
(937) 572-1667
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1500840-TRNE
OH
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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